DR. JACOBSON DISCUSSES THE DIABETIC THERAPUTIC SHOE PROGRAM
If the shoe fits wear it. It is critical if the shoe doesn't fit, DON'T wear it!
DIABETIC THERAPUTIC SHOES
While it is important for everyone to prevent foot problems, it is especially true for diabetics.
Diabetic patients have unique issues with their feet and when a problem occurs, such as an ulcer, complications may quickly occur. This is especially true if you have poor circulatiom and/or loss of sensation (neuropathy). In order for a patient with diabetes to qualify for the Diabetic Theraputic Shoe Program they must have goverment designated contributory factors that place them at a greater risk for complications. Not all diatetics qualify. At Broward Podiatry Associates we can tell you after your examination whether you should qualify. If you do meet the criteria set out by the goverment we still have several whoops to jump through. A copy of our exam ("Qualification Note) needs to be signed by the doctor who manages your diabetes. The doctor also needs to sign a government Attestation Form indicating that they agree with my findings and that they are under comprehensive diabetic management by the doctor (MD or DO). These stringent requirements have been added due to fraud and abuse. There are too many fly-by-night companies that dispense shoes with no follow-up. In most instances we will see at risk diabetic patients 5 times a year and at each visit will evaluate the shoes function and advise whether any modifications are needed,
These shoes design must meet certain criteria that are approved by medicare. Shoes of special design, such as seamless interiors, full contact soft-molded insoles and extra depth, allow diabetics to minimize the pressures often caused by shoes, thereby helping to eliminate any possible complications to follow.
There are many different companies such as Atrix, New Balance, Safestep and Dr. Comfort shoes. Custom ans prefabricated full contact insoles have to meet certain approved standards. These shoes have extra depth to accommadte the insoles. Shoe nowadays are lightweight and some are even stylish.
We all grew up the saying "if the shoe fit wear it" but the opposite of this is even more important with diabetes. If the shoe doesn't fit don't wear it!!! For patients who meet the medically necessity, these shoes are covered by Medicare part B and many private insurance carriers.